MEDICARE: DR. CHRISTOPHER B KING M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	01073904A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962637652
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER B KING M.D.

Provider Business Mailing Address
First Line	:	1000 PROVIDENT DR STE D
Second Line	:
City	:	WARSAW
State	:	IN
Zip	:	46580-3255
Country	:	US
Telephone Number	:	574-549-6940
Fax Number	:

Provider Business Practice Location Address
First Line	:	2512 E DUPONT RD STE 100
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46825-1609
Country	:	US
Telephone Number	:	260-436-6667
Fax Number	:	260-469-7437

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2009
Last Update Date	:	01/07/2026

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